Provider Demographics
NPI:1386829802
Name:JOHN, JAROD BIJU (MD)
Entity Type:Individual
Prefix:DR
First Name:JAROD
Middle Name:BIJU
Last Name:JOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:233 COLLEGE AVE.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3384
Mailing Address - Country:US
Mailing Address - Phone:717-358-0800
Mailing Address - Fax:717-358-0802
Practice Address - Street 1:233 COLLEGE AVE.
Practice Address - Street 2:SUITE 201
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3384
Practice Address - Country:US
Practice Address - Phone:717-358-0800
Practice Address - Fax:717-358-0802
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4441872084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102647450Medicaid
PA102647450Medicaid